<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
<html lang="zh-CN">
<head>
    <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
</head>
<body>
<form class="form-horizontal">
	<div class="form-group">
		<label class="col-lg-3 control-label">费用编码:</label>
		<div class="col-lg-9">
			<input name="costSubcode" style="display:inline; width:94%;" class="form-control"  type="text"  id="costSubcodeID" dataType="Require"/>
			<span class="required">*</span>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">费用名称:</label>
		<div class="col-lg-9">
			<input name="costSubdesc" style="display:inline; width:94%;" class="form-control"  type="text"  id="costSubdescID" dataType="Require"/>
			<span class="required">*</span>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">费用别名:</label>
		<div class="col-lg-9">
			<input name="costSubAlias" style="display:inline; width:94%;" class="form-control"  type="text"  id="costSubAliasID" />
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">费用类别:</label>
		<div class="col-lg-9">
 			<div class="btn-group select" id="parcostCatecodeID"></div>
			<input type="hidden" id="parcostCatecodeID_" class="form-control"  name="parcostCatecode" value=""/>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">费用五大类:</label>
		<div class="col-lg-9">
 			<div class="btn-group select" id="dccCodeID"></div>
			<input type="hidden" id="dccCodeID_" class="form-control"  name="dccCode"  value=""/>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">是否费用明细:</label>
		<div class="col-lg-9">
 			<div class="btn-group select" id="isDetailID"></div>
			<input type="hidden" id="isDetailID_" class="form-control"  name="isDetail"  value=""/>
		</div>
	</div>
	<div class="form-group">
		<label class="col-lg-3 control-label">医嘱费用编码:</label>
		<div class="col-lg-9">
			<input name="orderScode" style="display:inline; width:94%;" class="form-control"  type="text"  id="orderScodeID" require="false" />
		</div>
	</div>
</form>
</body>
</html>